Health Service Provision in Tamil Nadu: Assessing Facility Capacity, Costs of Care, and Patient Perspectives

This report draws from the Access, Bottlenecks, Costs, and Equity (ABCE) project in Tamil Nadu, India, part of a multi-pronged and multi-country research collaboration focused on understanding what drives and hinders health service provision. Results include the following:

• Assessing the capacity of health facilities to provide services across different levels of care, such as physical infrastructure, human resources for health, and stocks of medicines and functional equipment
• Comparing patient reports of their experiences at facilities, including wait time for care, interactions with providers, and expenses incurred during their visit
• Tracking trends in patient volumes and spending across facility types
• Quantifying the relationship between facility resources and production of services
• Estimating facility costs associated with different types of services

Funding for this project was provided by the Bill & Melinda Gates Foundation – Disease Control Priorities Network (Investment # OPP51229).